Anxiety & OCD

Question 1

4 features of pathologic anxiety?

Answer 1

autonomy (no trigger)
high intensity
long duration
results in disabling behaviors

Question 2

10 anxiety imposters?

Answer 2

hyperthyroid, hyperadrenalism, CHF, angina, anemia, COPD, acidosis, hyperthermia, seizures, vestibular dysfunction

Question 3

Causes of substance-induced anxiety?

Answer 3

caffeine, cocaine, stimulants

withdrawal from downers

Question 4

3 neurophysiologic causes of anxiety?

Answer 4

high norepi (locus coeruleus)
low GABA (limbic)
low 5HT

Question 5

Anxiety tx?

Answer 5

CBT
SSRI/SNRI long term
benzos for an acute episode

Question 6

6 common anxiety disorders?

Answer 6

separation anxiety disorder
panic disorder
agoraphobia
generalized anxiety disorder
specific phobia
social anxiety disorder

Question 7

When is separation anxiety appropriate?

Answer 7

ages 1-3

Question 8

Separation anxiety tx?

Answer 8

exposure therapy

Question 9

What are panic attacks?

Answer 9

discrete episodes of intense anxiety

lasts about 10 minutes

Question 10

Panic disorder criteria?

Answer 10

recurrent panic attacks
no trigger
disrupts function/alters behavior

Question 11

What is agoraphobia?

Answer 11

anxiety in the following settings:
public transport
open spaces
enclosed places
crowds
outside of the home alone

Question 12

GAD criteria?

Answer 12

anxiety most days for 6mo
unable to control worry
somatic symptoms
impaired function
no specific trigger

Question 13

6 GAD somatic symptoms?

Answer 13

muscle tension
restlessness
insomnia
difficulty concentrating
fatigue
irritability

Question 14

GAD tx?

Answer 14

CBT
SSRI/SNRI
benzos
buspirone

Question 15

Tx for specific phobia?

Answer 15

graded exposure

Question 16

What is social anxiety disorder?

Answer 16

fear of social situations and being scrutinized by others

Question 17

Social anxiety tx?

Answer 17

CBT
SSRI/SNRI
benzos or beta blockers for situational

Question 18

What is an obsession?

Answer 18

recurrent thought or image

Question 19

What is a compulsion?

Answer 19

behaviors aimed at reducing distress

Question 20

OCD criteria?

Answer 20

obsessions or compulsions that are time-consuming or cause impaired functioning

Question 21

What is ego-dystonic?

Answer 21

not enjoyable for the ego

Question 22

What is ego-syntonic?

Answer 22

ego likes it

Question 23

Are obsessions ego-dys-or-syntonic?

Answer 23

dystonic

Question 24

OCD tx?

Answer 24

CBT (exposure)
SSRI
clomipramine (TCA)

Question 25

What is body dysmorphic disorder?

Answer 25

preoccupation with a slight or nonexistant flaw

repetitive cosmetic surgeries

Question 26

5 symptom categories of ASD/PTSD?

Answer 26

intrusive thoughts and memories
negative mood
dissociative (depersonalization or derealization)
avoidance of thoughts, places, or people
hyperarousal

Question 27

Acute Stress Disorder criteria?

Answer 27

stress symptoms lasting 3 days - 1 month

impairs functioning

Question 28

Post Traumatic Stress Disorder criteria?

Answer 28

stress symptoms lasting more than 1mo

Question 29

ASD/PTSD tx?

Answer 29

exposure based CBT
SSRI
NO benzos

Question 30

Adjustment disorder criteria?

Answer 30

non-life threatening stressor triggers distress symptoms lasting 3-6mo
distress is out of proportion to stressor

Question 31

Adjustment disorder tx?

Answer 31

supportive therapy
CBT
can use SSRI

Question 32

Mature defense mechanisms?

Answer 32

SASH:
sublimation
altruism
suppression
humor